# MAPLE MILLINNIUM MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326457524
- **Authorized official:** ERIC PAGE (COO)
- **Authorized official phone:** (248) 593-9780

## Contact information

- **Practice address:** 30800 TELEGRAPH RD, SUITE 2950, BINGHAM FARMS, MI 48025-4542
- **Practice address phone:** (248) 593-9780
- **Mailing address:** 30800 TELEGRAPH RD, SUITE 2950, BINGHAM FARMS, MI 48025-4542
- **Mailing address phone:** (248) 593-9780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 08/13/2014